Safety and efficacy of laparoscopic ventral mesh rectopexy for complex rectocele

Abstract

Laparoscopic ventral mesh rectopexy is a safe and effective method for treating symptomatic complex rectocoele.

Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review

“…Thirty-eight of those 46 studies were excluded due surgery other than ventral rectopexy having been performed, postoperative complications not having been reported, or mesh-related erosion having not been observed among the complications; thus, eight studies were deemed eligible for inclusion (Fig. 1) [1213141516171819]. All studies reported synthetic mesh-related erosion [1213141516171819], and 1 study [19] reported both synthetic and biological mesh-related erosion (Table 1).…”

“…1) [1213141516171819]. All studies reported synthetic mesh-related erosion [1213141516171819], and 1 study [19] reported both synthetic and biological mesh-related erosion (Table 1). Six studies were prospective, none of which was a randomized clinical trial [121314151619], 1 study was retrospective [17], and 1 study was a case report (Table 1) [18].…”

Laparoscopic Ventral Rectopexy for Internal Rectal Prolapse Using Biological Mesh: Postoperative and Short-Term Functional Results

“…Functional results are impressive, showing symptoms resolution in up to 90% of the patients in the short-term followup and above 80% in the longer-term follow-up for both constipation and FI. 2,3,5,6,[20][21][22][23][24][25][26][27] In the present study, 82% of the patients with a grade III and IV internal rectal prolapse complained preoperative constipation. Postoperative constipation improvement was over 80%, and we did not observe any new-onset constipation.…”

Minimally invasive ventral mesh rectopexy for complex rectocoele: impact on anorectal and sexual function

“…Several reports have now shown the feasibility of this technique for other forms of pelvic organ prolapse, such as rectal intussusception and rectocoele, with reported improvement in symptoms of obstructed defaecation and incontinence [2][3][4]. The latter, however, often does not occur in isolation and is part of a more complex pelvic organ prolapse syndrome, commonly associated with concurrent enterocoele, cystocoele or hysterocoele, The advantage of using a laparoscopic approach is the ability to deal with such concurrent pathology while potentially minimizing the anal incontinence and dyspareunia associated Correspondence to: G. Meurette, Clinique de Chirurgie Digestive et Endocrinienne (CCDE), Institut des Maladies de l'Appareil Digestif (IMAD), University Hospital of Nantes -Hotel Dieu, 1 Place Alexis Ricordeau, 44093 Nantes, France.…”